Provider Demographics
NPI:1043074776
Name:LEAFE, RACHEL (RT(R), RDMS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:LEAFE
Suffix:
Gender:F
Credentials:RT(R), RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-2023
Mailing Address - Country:US
Mailing Address - Phone:716-427-4541
Mailing Address - Fax:
Practice Address - Street 1:414 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-2023
Practice Address - Country:US
Practice Address - Phone:716-427-4541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3542822085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound